Study On The Physical Characteristics Of Patients With Chronic Atrophic Gastritis And Its Relationship With TCM Syndromes,Anxiety And Depression

Objective:To study the physical characteristics of patients with chronic atrophic gastritis and the relationship with the types of TCM syndromes,anxiety and depression status,and provide theoretical basis for clinical diagnosis and treatment of this disease.Methods:Collect CAG patients who meet the diagnosis and inclusion criteria of this study,and fill out the CAG questionnaire,TCM constitution classification judgment form,syndrome questionnaire,and anxiety and depression self-assessment scale.Record the survey results and use SPSS25.0 software to perform statistical analysis on the entered data.Results:(1)Of the 173 patients collected,the number of females was slightly higher than that of males,and the ratio of males to females was 1:1.19.The age range is 28-82 years old,the average age is 56.62±10.34 years old,the number of onsets is more common in the 50-59 age group,and the age stratification is more common in middle-aged people.84.39%had obvious causes of onset,27.17%were smokers,20.23%were drinkers,86.13%had dietary preferences,26.59%were eating fast during irregular diets,and 59.30%of the employees reflected work intensity And pressure.(2)Among the CAG patients surveyed,there were 35 cases(20.23%)of qi deficiency constitution,the largest number,28 cases of Yin deficiency constitution(16.18%),25 cases of qi depression constitution(14.45%),23 cases of Yang deficiency constitution and damp heat constitution(13.29%)),18 cases of phlegm and dampness constitution(10.40%),10 cases of peaceful constitution(5.78%),9 cases of blood stasis constitution(5.20%),2 cases of special constitution.(1.16%).Among them,there is a significant difference between the biased constitution and the peace constitution(P<0.01).There is no difference between virtual and physical constitution(P>0.05).(3)In CAG patients,the difference in physical distribution between different genders is statistically significant(P<0.05).qi deficiency,phlegm and dampness,damp heat constitution are common in men,and Yin deficiency,qi deficiency,qi depression constitution are common in women.There is no difference in the physical distribution of different age groups(P>0.05).(4)There are differences in the physical distribution of patients with or without HP infection(P<0,05).Sort the frequency of HP-negative physique from high to low,including qi deficiency,Yin deficiency,qi depression,phlegm and dampness,Yang deficiency,damp-heat,peaceful,blood stasis and special constitution;Also sort the frequency of HP positive physique,followed by damp heat,yang deficiency,qi depression=qi deficiency,Yin deficiency=blood stasis,peace=phlegm and dampness,special constitution.(5)Among the 173 patients,the distribution pattern of each syndrome type was 58 cases of spleen and stomach weakness syndrome(33.53%),31 cases of spleen and stomach dampness syndrome(17.92%),27 cases of liver and stomach qi stagnation syndrome(15.61%),and 23 cases of stomach yin deficiency syndrome(13.29%),20 cases of liver-stomach stagnation-heat syndrome(11.56%),14 cases of stomach-collateral stasis syndrome(8.09%).There are differences in the distribution of TCM syndromes of different constitutions(P<0.05).Qi deficiency constitution is more common in spleen and stomach weakness syndromes(60.0%),Yang deficiency constitution is more common in spleen and stomach weakness syndromes(52.2%),Yin deficiency constitution is more common in spleen and stomach deficiency syndromes(42.9%),and damp heat constitution is more common in spleen and stomach dampness heat syndromes(60.9%),qi depression constitution is more common in liver and stomach stagnation syndrome(44.0%).(6)In this study,159 people filled out the SAS and SDS questionnaires.There were 67 people without anxiety and depression,33 people with anxiety,27 people with depression,and 32 people with anxiety and depression.The difference in anxiety status of CAG patients with different constitutions was statistically significant(P<0.01),and the difference in depression status of different constitutions was statistically significant(P<0.01).Patients with qi depression and damp heat are prone to anxiety,and patients with qi depression and phlegm and dampness are prone to depression.Conclusion:(1)The common physical types of CAG patients are qi deficiency constitution,Yin deficiency constitution,qi depression constitution,Yang deficiency constitution and damp heat constitution.(2)The physical distribution of CAG patients is related to gender.Men are more common in Qi deficiency constitution,phlegm and dampness constitution,and damp heat constitution.Women are more common in Yin deficiency constitution,qi deficiency constitution and qi depression constitution.(3)There is a difference in the constitution distribution of patients with and without HP infection,and HP-positive patients are more common in damp-heat constitution.(4)The frequency of various syndrome types of CAG patients from high to low is as follows:spleen and stomach weakness syndrome,spleen and stomach dampness and heat syndrome,liver and stomach qi stagnation syndrome,stomach yin deficiency syndrome,liver and stomach stagnation syndrome,stomach stasis syndrome.(5)There is a relationship between the physical distribution of CAG patients and the type of syndrome.Qi deficiency constitution and Yang deficiency constitution are more common in spleen and stomach weakness syndrome,Yin deficiency constitution is more common in stomach and yin deficiency syndrome,damp heat constitution is more common in spleen and stomach damp heat syndrome,and qi depression constitution is more common in liver and stomach.Qi depression constitution is more common in liver and stomach stagnation syndrome.(6)The physical distribution of patients with CAG is associated with anxiety and depression.Patients with qi depression and damp heat are prone to anxiety;patients with qi depression and phlegm and dampness are prone to depression.